| Jeannene L Dieter, OD | |
|
8312 Us Highway 301 N Ste 105, Parrish, FL 34219-8725 | |
| (941) 776-5770 | |
| (941) 845-0162 |
| Full Name | Jeannene L Dieter |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 38 Years |
| Location | 8312 Us Highway 301 N Ste 105, Parrish, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417955451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP0002256 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palm Coast Eye Center, P.a. | 8820060296 | 2 |
| Provider Name | Palm Coast Eye Center, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427098730 PECOS PAC ID: 8820060296 Enrollment ID: O20040807000067 |
| Provider Name | Chanda W Wall Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649486408 PECOS PAC ID: 2062432636 Enrollment ID: O20051128000526 |
| Provider Name | Gulf Coast Optometry Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083859409 PECOS PAC ID: 0941359533 Enrollment ID: O20090602000109 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannene L Dieter, OD 8312 Us Highway 301 N Ste 105, Parrish, FL 34219-8725 Ph: (941) 776-0577 | Jeannene L Dieter, OD 8312 Us Highway 301 N Ste 105, Parrish, FL 34219-8725 Ph: (941) 776-5770 |
Marisa Maura, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8950 Us Highway 301 N Ste 117, Parrish, FL 34219 Phone: 941-981-6790 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8950 Us Highway 301 N Ste 117, Parrish, FL 34219 Phone: 941-981-6790 | |
Eye Center Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8312 Us Highway 301 N, Suite 105, Parrish, FL 34219 Phone: 941-776-5770 |